Services in NC Medicaid Plan NC plans to offer additional services to people with intellectual and developmental disabilities, as well as others, under (i) services plan through the Medicaid program. When Tailored Plans begin operation December 1, 2022 as part of the stateās Medicaid Transformation some of the services that LME-MCOs offered under b(3) such…
Public Policy Update: Rate Increase to Support Wages for Direct Support Workers A First Step in Right Direction
The state budget that passed in December 2021 included funding towards increasing Medicaid home and community-based provider rates so that wages paid to direct support professionals/direct support workers can be increased. While the budget special provision language states that 15.00 per hour is the goal, there is not enough money appropriated in the budget to…
Public Policy Update: āiā Services in 1115 Waiver May Help Those Waiting
North Carolina is in the process of seeking approval by the Centers for Medicaid and Medicare Services to add āiā home and community-based services (HCBS) under our stateās new 1115 Medicaid plan. These āiā HCBS services would offer additional supports to people with disabilities who are eligible for Medicaid. NC DHHS has requested that most…
North Carolina Public Policy Update: State Budget Passes, Tailored Plans Delayed
Medicaid Transformation Delay While the news below about the budget is very good, delays in passing a state budget coupled with the realignment of county MH/DD/SAS management among LME MCOs mean that the long-awaited Medicaid Tailored Plan rollout will be moved from July 1, 2022, to December 1, 2022. Tailored Plans are an integrated health…
Medicaid Transformation: Watch for Outreach on Standard Plans
The NC Department of Health and Human Services (NC DHHS) is in the process of implementing Medicaid transformation in North Carolina.Ā For people who use Medicaid as their health insurer, Standard PlansĀ went live July 1, 2021, while Behavioral Health I/DD Tailored Plans are scheduled to launch July 1, 2022. Most people with a diagnosis of autism…
Updated Information on Medicaid Transformation – August 2021
The NC Department of Health and Human Services (DHHS) is in the process of implementing Medicaid transformation in North Carolina. In this process, Medicaid recipients will have their health services transitioned from a fee-for-service model to managed care, which allows for physical and behavioral health services to be administered in one plan. Our stateās plan…
Public Policy Update
No progress on State Budget from House members State Budget Update: The NC House budget is now not expected until late July or early August. House budget leaders are sorting out the implications of billions in federal funding and its impact on the state budget. Some federal funding, like that for health and human services,…
Updated Information on Medicaid Transformation
The NC Department of Health and Human Services (DHHS) is in the process of implementing Medicaid transformation in North Carolina. In this process, Medicaid recipients will have their health services transitioned from a fee-for-service model to managed care, which allows for physical and behavioral health services to be administered in one plan. Our stateās plan…